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Query: UMLS:C0027066 (
myoclonus
)
4,275
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
A patient of 29 years is described with Noonan's syndrome and idiopathic
hypoparathyroidism
, who presented with epilepsy and
myoclonus
. Correction of the hypocalcaemia resulted in improvement of his
myoclonus
and psychiatric abnormalities. The embryological significance of the association is discussed.
...
PMID:A case of Noonan's syndrome and hypoparathyroidism presenting with epilepsy. 454 21
Although seizures have been described in hypocalcemia,
myoclonus
has been rarely reported. We report the first case of a patient with hypocalcemic cortical
myoclonus
due to
hypoparathyroidism
following a previous thyroidectomy. The patient was an 84-year-old woman who presented with multifocal
myoclonus
, which was predominant in the upper extremities, neck, jaw, and facial muscles. Electrophysiological studies revealed enlarged somatosensory evoked potentials, cortical reflexes evoked by peripheral nerve stimulation, and a cerebral potential preceding myoclonic jerks determined by jerk-locked averaging. All these findings were consistent with cortical
myoclonus
. The myoclonic state disappeared as serum calcium level became normal. Hypocalcemia should be considered in patients who had had a thyroidectomy, even if it was performed more than 10 years previously.
...
PMID:Cortical myoclonus due to hypocalcemia 12 years after thyroidectomy. 1664 6